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Ketoprofen 10% Cream for Treatment of Pain Associated With Mild to Moderate Acute Soft Tissue Injury

Primary Purpose

Sprain, Strain, Acute Soft Tissue Injury

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Topical Ketoprofen 10% Cream
Topical Placebo Cream
Sponsored by
Imprimis Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sprain focused on measuring Sprain, Strain, Pain, Ankle Pain, Shoulder Pain, Elbow Pain, Tennis Elbow, Knee pain, Wrist Pain, Hand Pain, Muscle, Bone and Cartilage Disorders

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 to 70 years of age
  • Have a diagnosis of uncomplicated acute soft tissue injury of the upper or lower extremity that has occurred within the 72 hours preceding the baseline visit.
  • The injury site must be accessible to the patient so that he or she can apply the study treatment himself or herself.
  • Meet pain entry criteria.
  • Willing to discontinue use of any pain medication or treatments not provided as part of the study.

Exclusion Criteria:

  • Grade 3 sprain or strain, bilateral sprain or strain, or concomitant fracture or open wound at the site of the sprain or strain, or have a serious injury, as determined by the investigator (e.g., nerve damage, joint instability, or tendon rupture).
  • Previous injury to the same area within 3 months prior to current injury.
  • Active skin lesions or disease at the intended site of application of the study medication. Skin lesions include open wounds, rash, papules, vesicles, and erythema associated with the site of injury.
  • Pharmacologic treatment (NSAIDs or analgesic medications) for the injury less than 12 hours before the baseline assessments.
  • Any form of opioid use since the time of injury.
  • Any form of steroid use within 30 days prior to study entry.
  • Non-pharmacologic treatments of the injury other than rest, ice, compression, and/or elevation (RICE) prior to the baseline visit.
  • History or physical examination finding that is not compatible with safe participation in the study as determined by the study doctor, such as gastrointestinal (stomach, intestine) ulcer or bleeding within 6 months documented by an upper-gastrointestinal series (UGI x-ray, barium meal) or endoscopy (GI scope), anemia or abnormal bleeding, moderate to severe kidney disease, or moderate to severe liver disease.
  • A history of, or evidence for, underlying disease in the injured area, such as osteoarthritis or gout.
  • Clinically significant, poorly controlled lung, stomach, liver, kidney, heart, or other vital organ disease as determined by the study doctor or nurse.
  • A history of allergy to ketoprofen or ketoprofen-containing products.
  • A history of allergy to soy lecithin or soy lecithin-containing products.
  • Medications (drugs) or other substances contraindicated due to the nature of study medication that include:

    • Allergies to prescription or over-the-counter products containing acetaminophen (e.g., Tylenol®), which is used as rescue medication
    • History of aspirin-sensitive asthma, or aspirin-associated rhinitis or nasal polyps
    • Taking warfarin, parenteral heparin, ticlopidine or clopidogrel
    • Taking lithium or methotrexate
    • Taking probenecid or similar drugs that might affect the kidneys
  • Received an investigational drug or product or participated in an investigational drug study within a period of 30 days prior to receiving study medication.
  • Scheduled elective surgery or other invasive procedures during the period of study participation.

Sites / Locations

  • CATO Research

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Ketoprofen 10% Cream

Placebo

Arm Description

Topical Ketoprofen 10% Cream 1gram three times daily for 7 days

Topical placebo cream 1gram three times daily for 7 days

Outcomes

Primary Outcome Measures

Assess the efficacy of ketoprofen 10% cream in subjects with acute pain associated with mild to moderate acute soft tissue injury (acute sprain or strain) of upper and lower extremities on the day 3 visit.

Secondary Outcome Measures

Assess the safety, tolerability and other parameters of ketoprofen 10% cream in subjects with acute pain associated with mild to moderate acute soft tissue injury of upper and lower extremities.

Full Information

First Posted
October 1, 2008
Last Updated
September 20, 2013
Sponsor
Imprimis Pharmaceuticals, Inc.
Collaborators
Cato Research
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1. Study Identification

Unique Protocol Identification Number
NCT00765700
Brief Title
Ketoprofen 10% Cream for Treatment of Pain Associated With Mild to Moderate Acute Soft Tissue Injury
Official Title
A Randomized, Multicenter, Double-Blind, Placebo-Controlled, Parallel-Group, Phase 3 Study to Assess the Efficacy and Safety of Ketotransdel™ (Ketoprofen Topical Cream 10%) in the Treatment of Pain Associated With Mild to Moderate Acute Soft Tissue Injury.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2013
Overall Recruitment Status
Completed
Study Start Date
September 2008 (undefined)
Primary Completion Date
August 2009 (Actual)
Study Completion Date
September 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Imprimis Pharmaceuticals, Inc.
Collaborators
Cato Research

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Imprimis Pharmaceuticals is investigating a proprietary, topical cream formulation consisting of 10% ketoprofen (containing 100 mg of ketoprofen in 1gram of cream) for the local treatment of acute musculoskeletal pain.
Detailed Description
The primary objective of this study is to determine the efficacy and safety of ketoprofen 10% cream compared to placebo as a three-times-per-day topical application in improving the patient assessment of pain when used to treat mild to moderate acute soft tissue injury of the upper and lower extremities over a 7-day period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sprain, Strain, Acute Soft Tissue Injury
Keywords
Sprain, Strain, Pain, Ankle Pain, Shoulder Pain, Elbow Pain, Tennis Elbow, Knee pain, Wrist Pain, Hand Pain, Muscle, Bone and Cartilage Disorders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
364 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ketoprofen 10% Cream
Arm Type
Active Comparator
Arm Description
Topical Ketoprofen 10% Cream 1gram three times daily for 7 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Topical placebo cream 1gram three times daily for 7 days
Intervention Type
Drug
Intervention Name(s)
Topical Ketoprofen 10% Cream
Other Intervention Name(s)
Ketotransdel (TDLP-110)
Intervention Description
Topical Administration
Intervention Type
Drug
Intervention Name(s)
Topical Placebo Cream
Other Intervention Name(s)
Placebo, Vehicle
Intervention Description
Topical Administration
Primary Outcome Measure Information:
Title
Assess the efficacy of ketoprofen 10% cream in subjects with acute pain associated with mild to moderate acute soft tissue injury (acute sprain or strain) of upper and lower extremities on the day 3 visit.
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Assess the safety, tolerability and other parameters of ketoprofen 10% cream in subjects with acute pain associated with mild to moderate acute soft tissue injury of upper and lower extremities.
Time Frame
14 days
Other Pre-specified Outcome Measures:
Title
To assess the pharmacokinetics of ketoprofen after 7 days of topical application
Time Frame
8 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 to 70 years of age Have a diagnosis of uncomplicated acute soft tissue injury of the upper or lower extremity that has occurred within the 72 hours preceding the baseline visit. The injury site must be accessible to the patient so that he or she can apply the study treatment himself or herself. Meet pain entry criteria. Willing to discontinue use of any pain medication or treatments not provided as part of the study. Exclusion Criteria: Grade 3 sprain or strain, bilateral sprain or strain, or concomitant fracture or open wound at the site of the sprain or strain, or have a serious injury, as determined by the investigator (e.g., nerve damage, joint instability, or tendon rupture). Previous injury to the same area within 3 months prior to current injury. Active skin lesions or disease at the intended site of application of the study medication. Skin lesions include open wounds, rash, papules, vesicles, and erythema associated with the site of injury. Pharmacologic treatment (NSAIDs or analgesic medications) for the injury less than 12 hours before the baseline assessments. Any form of opioid use since the time of injury. Any form of steroid use within 30 days prior to study entry. Non-pharmacologic treatments of the injury other than rest, ice, compression, and/or elevation (RICE) prior to the baseline visit. History or physical examination finding that is not compatible with safe participation in the study as determined by the study doctor, such as gastrointestinal (stomach, intestine) ulcer or bleeding within 6 months documented by an upper-gastrointestinal series (UGI x-ray, barium meal) or endoscopy (GI scope), anemia or abnormal bleeding, moderate to severe kidney disease, or moderate to severe liver disease. A history of, or evidence for, underlying disease in the injured area, such as osteoarthritis or gout. Clinically significant, poorly controlled lung, stomach, liver, kidney, heart, or other vital organ disease as determined by the study doctor or nurse. A history of allergy to ketoprofen or ketoprofen-containing products. A history of allergy to soy lecithin or soy lecithin-containing products. Medications (drugs) or other substances contraindicated due to the nature of study medication that include: Allergies to prescription or over-the-counter products containing acetaminophen (e.g., Tylenol®), which is used as rescue medication History of aspirin-sensitive asthma, or aspirin-associated rhinitis or nasal polyps Taking warfarin, parenteral heparin, ticlopidine or clopidogrel Taking lithium or methotrexate Taking probenecid or similar drugs that might affect the kidneys Received an investigational drug or product or participated in an investigational drug study within a period of 30 days prior to receiving study medication. Scheduled elective surgery or other invasive procedures during the period of study participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Illana Katsnelson, MD
Organizational Affiliation
Cato Research
Official's Role
Study Director
Facility Information:
Facility Name
CATO Research
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27713
Country
United States

12. IPD Sharing Statement

Citations:
Citation
E. Ekman, S. Skrepnik, M. Jones , K. Lawson, and J. Schupp. EFFICACY AND SAFETY OF KETOPROFEN 10% CREAM IN ACUTE SOFT TISSUE INJURIES (PHASE 3 STUDY TDLP-110-001). Poster Presentation, Sep. 2, 2010, 13th World Congress on Pain in Montreal, Canada.
Results Reference
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Ketoprofen 10% Cream for Treatment of Pain Associated With Mild to Moderate Acute Soft Tissue Injury

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